Operational Stress Injuries in the Ontario Provincial Police Dr. Dianne Groll Military Mental Health Research Symposium May 3rd 2016 Faculty/Presenter Disclosure Faculty: Dr. Dianne Groll Relationships with commercial interests: None 2 Disclosure of Commercial Support This program has received financial support from the Tema Conter Memorial Trust and the Queen’s University Department of Psychiatry in the form of an operating grant. This program has received in-kind support from – N/A Potential for conflict(s) of interest: 3 none Mitigating Potential Bias 4 There is no potential bias to report. Background In October 2012 the Ombudsman of Ontario, released “In the Line of Duty,” an investigation into how the Ontario Provincial Police and the Ministry of Community Safety and Correctional Services have addressed Operational Stress Injuries affecting police officers. The report made 34 recommendations – two of which are: 5 that the Ontario Provincial Police (OPP) and the Ministry of Community Safety and Correctional Services conduct a confidential survey of all its officers on Operational Stress Injuries Operational Stress Injury 6 The term “Operational Stress Injury (OSI)” refers to a cluster of illnesses and has been defined as "any persistent psychological difficulty experienced as a result of operational duties including, but not limited to: depression, anxiety, addictions, chronic pain, and post-traumatic stress disorder (PTSD) Methodology A survey of over 425 questions was developed sent by e-mail to all serving uniformed police officers (OMP and OPP), and civilian employees within the services This study was endorsed by the Ontario Association of Chiefs of Police, and the following members of the WSIB PTSD Working Group: 7 Ontario Association of Police Services Boards (OAPSB) Police Association of Ontario (PAO) Ontario Provincial Police Association (OPPA) Toronto Police Association (TPA) Ontario Senior Officers Police Association (OSOPA) Ontario Provincial Police (OPP) Ministry of Community Safety and Correctional Services (MCSCS). Survey Questions Survey questions were primarily taken directly from the Statistics Canada 2012 Canadian Community Health Survey – Mental Health (CCHS – MH) and the 2002 Canadian Forces Mental Health Survey. Questions covering areas such as physical and psychological abuse, PTSD, substance use, anxiety, depression, suicide, and stigma. Operational and Occupational Police Stressors*, and potentially traumatic situations. *McCreary DR and Thompson MM, International Journal of Stress Management 2006. 13 (4). 494-518. 8 Responses 9 34,292 individual invitations were sent out to all OPP detachments and all 57 Ontario police services. 14,702 individuals ‘responded’ to the survey, an overall response rate of 42.9% 2,840 of 6,044 OPP serving officers responded (response rate of 47%). DEMOGRAPHICS Variable OPP Survey Responders Serving OPP Male (%) 77.1 79.4 Female (%) 22.9 20.5 27.0 46.4 25.2 1.1 33.8 43.6 21.4 1.1 22.3 30.9 39.4 7.5 32.7 35.9 27.5 3.8 Age (%) 20 – 39 40 – 49 50 – 59 60+ Years of Service <5 – 9 10 – 19 20 – 29 30+ 10 Screening Questions Percent Would you say your general health/physical health/mental health is... ? 50 45 40 35 30 25 20 15 10 5 0 General Physical Mental Excellent 11 Very Good Good Fair Poor Percent How do you feel about your life as a whole right now? 12 35 30 25 20 15 10 5 0 Stress 13 What is the number one contributor to stress in your day-to day life? 25 Percent 20 15 10 5 0 14 Time pressures Work Finances Personal or family responsibilities Relationships Operational Stress The Police Operational Stress Questionnaire is a 20 item list of stressors related to the job of Policing. Items are rated on a scale of 1 = no stress to 7= a lot of stress. The following are the top five identified stressors. Item Rank Fatigue (resulting from shift work, overtime) 1 Shift work 2 Occupation-related health issues (eg back pain) 3 Paperwork 4 Not enough time to spend with friends and family 5 15 Organizational Stress The Police Organizational Stress Questionnaire is a 20 item list of stressors relating to Police experiences within an organization. Each item is rated on a scale of 1 = no stress to 7= a lot of stress. The following are the top five identified stressors. Item Rank Bureaucratic red tape 1 Staff shortages 2 Inconsistent leadership style 3 The feeling that different rules apply to different people (e.g. favoritism) 4 Feeling like you always have to prove yourself to the organization 16 5 Operational Stress Injuries Operational Stress Injury Last 12 months (%) Lifetime (%) Major Depressive Disorder 7.5 24.3 Generalized Anxiety Disorder 2.9 11.1 PTSD (PCL-M) 6.1 11.1 5 drinks or more on one or more occasions 10.8 at least once a month 11.1 Suicidal Ideation - Have you ever seriously thought about taking your own life? 9.9 17 Individuals with PTSD Are more likely to: 18 Be less satisfied with life Report poorer mental health State that they have seriously thought about taking their own life Meet the criteria for a major depressive disorder in the past 12 months Meet the criteria for a major anxiety disorder in the past 12 months Report more stress in their lives Help 19 During the past 12 months have you seen, or talked on the phone to, any of the following people about problems with your emotions, mental health, or use of alcohol or drugs? Individual % yes Psychiatrist 2.9 Family Doctor or GP 10.4 Psychologist 4.3 Nurse 1.3 Social worker, counselor, psychotherapist 7.5 Family member 12.5 Friend 11.3 Co-worker, supervisor, or boss 7.0 Conclusions 20 In general, the majority of serving OPP members report excellent, very good or good general, physical and mental health. Most are satisfied with their life right now The percent of individuals with an OSI are similar to the CAF, but further analysis is needed. Detailed examination of relationships between variables is ongoing. Limitations 21 This is not a randomized study, so generalizations may not be possible. This is a cross-sectional study so no causality can be determined We do not currently have information on members who have retired or left the service. Acknowledgements 22 The other members of the research team: Dr. Randy Boddam (Queen’s University), Mr. Stan French (Nipissing University), and Ms Sharon Chin (Candor College). We would also like to gratefully acknowledge funding from the: Tema Conter Memorial Trust http://www.tema.ca/ Queen’s University Department of Psychiatry
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